Eugenio E. Zaldivar

In this case, it is clear that the author feels that she has been treated badly by quite a few doctors throughout her life. At first read, the locus of her concern is perhaps a bit less clear. After all, many of her concerns seem to center around uses of humor in which she was not the butt of the joke. Indeed, she was included in the inner circle, treated as a confidant, by her doctors. From the perspective of someone accustomed to being in the inner circle, it may not be immediately obvious why the attempts at humor failed. After all, isn’t humor meant to be a good way to help patients relax? Isn’t it a good way to bond with patients and to make them more comfortable? As Berger (2004) notes “humor offers modes of intimate communication through which these objectives can be achieved. Physicians’ use of quiet, respectful humor may provide patients with the “social license” to enter personal or sensitive content areas” (p. 827). If humor, or joking, is an effective tool in establishing channels of communication, then how or why did it go wrong here? The answer, in brief, is that not all humor is created equal. Before going any further, we should acknowledge a few things. First, in this case the only form of humor that is on offer is joking, but humor is not limited to jokes. Usually, when we refer to humor broadly, as in the quotation above, the point can be taken to apply to jokes. However, if we refer specifically to jokes or joking the point may not apply to humor more broadly. This is so even if the jokes are meant to be humorous. Care should be taken lest we generalize in haste. Second, not all jokes are humorous, nor are all jokes intended to be humorous. Finally, much of what we will consider here—the purpose of joking, the orientation of care, the consideration of content—will be generally applicable to other forms of communication and, mutadis mutandis, should not be restricted to joking and humor.